Entity Name: | ORIGIN MEDICAL LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 04 May 2020 (5 years ago) |
Date of dissolution: | 23 Sep 2022 (2 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2022 (2 years ago) |
Document Number: | L20000120028 |
FEI/EIN Number | 85-1025126 |
Address: | 224 DATURA STREET, 1309, WEST PALM BEACH, FL 33401 |
Mail Address: | 224 DATURA STREET,, 1309, WEST PALM BEACH, FL 33401 |
ZIP code: | 33401 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043838485 | 2020-07-13 | 2022-03-22 | 224 DATURA ST STE 1309, WEST PALM BEACH, FL, 334015641, US | 224 DATURA ST STE 1309, WEST PALM BEACH, FL, 334015641, US | |||||||||||||||||||
|
Phone | +1 727-267-8910 |
Phone | +1 305-619-5378 |
Authorized person
Name | CHRISTOPHER SPELLMAN |
Role | OWNER |
Phone | 8669535386 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
Is Primary | No |
Name | Role | Address |
---|---|---|
Spellman, Christopher A | Agent | 224 DATURA STREET, 1309, WEST PALM BEACH, FL 33401 |
Name | Role | Address |
---|---|---|
Spellman, Christopher A | Manager | 224 DATURA STREET, WEST PALM BEACH, FL 33401 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2021-11-22 | Spellman, Christopher A | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2021-11-23 |
AMENDED ANNUAL REPORT | 2021-11-22 |
ANNUAL REPORT | 2021-03-07 |
Florida Limited Liability | 2020-05-04 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State